ICF Reimbursement Redesign

The Ohio Department of Developmental Disabilities oversees the ICF-IID (Intermediate Care Facilities for Individuals with Intellectual Disabilities). In July of 2015, DODD released a Request for Proposal (RFP) which stated in part:

“The current reimbursement formula was developed more than 20 years ago. Almost 3 years ago DODD released a White Paper to outline its vision for the ICF-IID program and the desire to focus more on intense behavioral and medical needs. The purpose of this RFP is to solicit proposals from qualified reimbursement experts to develop a transformative and modernized ICF-IID reimbursement methodology. The new methodology will incentivize quality measures and payments based on health outcomes and will promote services provided in the most integrated setting appropriate to the needs of each individual.”

The work on the reimbursement system is not yet complete. Stakeholders will be meeting with DODD and the Ohio Department of Medicaid throughout most of 2017 in an effort fine tune and finalize the work completed to date.

The following links will provide you with information about the reimbursement re-design work.